Income disparity and utilization of cardiovascular preventive care services among U.S. adults

• DOI: 10.1016/j.ajpc.2021.100286
• Publication Date: 2021-11-06T01:58:19Z
• Authors: Andi Shahu; Victor Okunrintemi; Martin Tibuakuu; Safi U. Khan; Martha Gulati; Francoise Marvel; Roger S. Blumenthal; Erin D. Michos
• Keywords: Receipt

: Associations between income disparity and utilization of cardiovascular disease (CVD) preventive care services, such as receipt lifestyle advice screening for CVD risk factors in populations with without CVD, are not well understood. The purpose this study was to evaluate associations CVD-preventive services among U.S. adults.: We included adults ≥18 years from the 2006 2015 Medical Expenditure Panel Survey. categorized participants high-income (>400% federal poverty level [FPL]), middle (200-400% FPL), low-income (125-200% FPL) very low (VL)-income (<125% FPL). used logistic regression compare likelihood receiving by strata, adjusting sociodemographic comorbidities.: 185,081 (representing 194.6 million adults) 32,862 37 CVD. VL-income were less likely than have blood pressure measured within past 2 [odds ratio [OR] 0.41 (95% confidence interval [CI] 0.37-0.45)] or cholesterol levels checked 5 [0.36 (0.33-0.38)] receive counseling about diet modifications [0.77 (0.74-0.81)], exercise [0.81 (0.77-0.85)], smoking cessation [0.71 (0.63-0.79)] year. also [0.32 (0.22-0.46)] [0.33 (0.26-0.42)] [0.84 (0.76-0.93)] [0.78 (0.61-0.99)]. Additional subgroup analyses restricted who had seen a healthcare provider preceding 12 months, secondary stratified sex, race ethnicity, showed similar disparities participants.: be screened CVD-prevention adults, regardless status. More work must done reduce access different groups.